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The Platinum Club
Personality Test 1
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Personality Test 2
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Question
Answer
*
First Name:
Last Name:
City:
Province:
*
Phone:
Best Time to Call:
Occupation:
*
E-mail Address:
Birth date:
month
january
february
march
april
may
june
july
august
september
october
november
december
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
Marriage:
single
dating
divorced
separated
widowed
married
Have Kids:
yes, at home
yes, not at home
yes, in and out
no
Want Kids:
definitely
someday
unsure
no way
Home:
home owner
leasing
free loading
other
Smoking:
never
occasional
regular
quitting
quit
Drinking:
never
occasional
regular
quitting
quit
Zodiac:
aquarius
pisces
aries
taurus
gemini
cancer
leo
virgo
libra
scorpio
sagittarius
capricorn
Height:
tatoo(s)
peircing(s)
tatoo and peircing
none
Weight:
skinny
slim
athletic
average
big boned
a few extra pounds
Eyes:
blue
brown
green
grey
hazel
Ethnicity:
asian
black
caucasian
east asian
latino
native american
other
Education:
elementary
highschool
some college
associate degree
bachelor degree
master degree
doctorate
Ph. D
Salary:
< $25,000
$25,001-$30,000
$30,001-$40,000
$40,001-$50,000
$50,001-$60,000
$60,001-$70,000
$70,001-$80,000
$80,001-$90,000
$90,001-$100,000
$100,001-$110,000
$110,001-$120,000
$120,000 >
First Language:
arabic
bengali
bulgarian
chinese
czech
dutch
english
finish
french
german
greek
hebrew
hindi
italian
japanese
korean
malay
norweigian
persian
polish
portuguese
romanian
russian
spanish
sweedish
tagalog
thai
urdu
vietnamese
yiddish
Religion:
agnostic
anglican
atheist
baptist
buddhist
catholic
christian
episcopalian
hindu
jewish
lutheran
methodist
mormon
muslim
pagan
protestant
quaker
sikh
unafiliated
Seeking:
women
men
About you:
Tell us about you. Your likes and dislikes, your hobbies and activities.
*
Marks required fields for the form above.
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